Effect of pectoralis minor relaxation on the prognosis of rotator cuff injury under arthroscopy.

BACKGROUND: Rotator cuff injury is the main cause of shoulder joint pain. Rotator cuff tear is a serious stage of rotator cuff injury. The purpose of this study was to observe the effect of pectoralis minor relaxation on the prognosis of rotator cuff injury under arthroscopy. METHODS: The clinical data of patients with rotator cuff injury admitted to our department from March 2019 to August 2020 were retrospectively analyzed. These patients were divided into a conventional arthroscopy surgery group and a pectoralis minor relaxation group. The American Shoulder and Elbow Surgeons' Form (ASES) and University of California at Los Angeles Shoulder Scores (UCLASS) were used to assess shoulder joint function during the postoperative and follow-up periods, and the visual analogue scale (VAS) was used to assess shoulder joint pain. RESULTS: Shoulder joint function of the two groups of patients was significantly improved at 1 week postoperatively compared with that before surgery (P<0.05). The shoulder joint function of the pectoralis minor relaxation group was better than that of the conventional arthroscopy surgery group (P<0.05). Also, the shoulder joint function of patients in pectoralis minor relaxation group was better than that in conventional arthroscopy surgery group at 6 weeks, 12 weeks and 6 months after surgery (P<0.05). The UCLASS evaluation results were consistent with the ASES results. At 1 week after surgery, the pain of the two groups of patients was significantly less than before the operation, but the degree of pain relief was greater at 6 weeks postoperatively. Starting at 6 weeks after surgery, the shoulder joint pain of the pectoralis minor relaxation group was less than that of conventional arthroscopy surgery group (P<0.05). The healing of the incision was observed after the operation. No incision infection or exudation was found in the two groups of patients. CONCLUSIONS: The addition of pectoralis minor relaxation on the basis of conventional arthroscopic surgery is beneficial to the further recovery of shoulder joint function and pain reduction in patients with rotator cuff injury.

[Improving Threshold Segmentation in 3D Reconstruction of Mandible CT Image].

OBJECTIVE: To develop a new threshold segmentation method for mandible image segmentation. METHODS: CT data of 12 volunteers were exported into Mimics 10. 01. An improved method usinga narrowed threshold range (the maximum threshold range that can segment mandible without manual efforts) was developed in 3D reconstruction, and compared with the traditional method. We used dilation operations to make up the information loss of image borders, by which we obtained an approxinate segment result. A precise segment resultwas eventually arrived with the help of logical operations and region growing. We compared mean time consumptions of the two methods, as well as their 3D reconstruction results using Geomagic Studio 11. 0. RESULTS: The new method generated a success rate of 91. 67% (11/12), with a mean time consumption of (319. 7±125. 3) s. The traditional method took much longer time [(1,261. 3±427. 3) s, P<0. 05] than the new method. Compared with the reconstruction results of traditional method, the new method had an outward deviation of (0. 066±0. 011) mm and an inward deviation of (0. 070±0. 008) mm. Such deviations were less than the minimum distance that a naked eye can discern. The lower limit of the widest threshold range which mandible could be isolated was (507. 72± 100. 31) HU, while the upper limit was (1,133. 33±47. 57) HU. CONCLUSION: The new method we proposed can improve the efficiency of threshold segmentation of mandible.

Proximal femoral nail versus dynamic hip screw fixation for trochanteric fractures: a meta-analysis of randomized controlled trials.

BACKGROUND: The purpose of this meta-analysis was to find out whether the proximal femoral nail was better than the dynamic hip screw in the treatment of trochanteric fractures with respect to operation time, blood transfusion, hospital stay, wound complications, number of reoperation, and mortality rate. METHODS: All randomized controlled trials comparing proximal femoral nail and dynamic hip screw in the treatment of trochanteric fractures were included. Articles and conference data were extracted by two authors independently. Data was analyzed using RevMan 5.1 version. Eight trials involving 1348 fractures were retrieved. RESULTS: Compared with DHS fixation, PFN fixation had similar operation time (95% CI: -15.28-2.40, P = 0.15). Blood loss and transfusion during perioperative time were also comparable between the two fixations (95% CI: -301.39-28.11, P = 0.10; 95% CI: -356.02-107.20, P = 0.29, resp.). Outcomes of hospital stay (95% CI: -0.62-1.01, P = 0.64), wound complication (95% CI: 0.66-1.67, P = 0.82), mortality (95% CI: 0.83-1.30, P = 0.72), and reoperation (95% CI: 0.61-1.54, P = 0.90) were all similar between the two groups. CONCLUSION: PFN fixation shows the same effectiveness as DHS fixation in the parameters measured.